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WATER DEPARTMENT
VEHICLE INSPECTION REPORT
VEHICLE# MILEAGE DATE
* INSPECT ALL ITEMS LISTED AND INDICATED DEFICIENCIES NEEDING REPAIR*
ENGINE SPRINGS LIGHTS
Oil Level Broken Leaf Head
Coolant Level in Radiator Hanger Brake
Power Steering Fluid Other Turn Signal
Windshield Washer Fluid Marker
Battery Terminals Clean STEERING Strobe
Battery Water Reflectors
Fan&Alternator Belts Free Play Dash
Shimmy Interior
CLUTCH Other
MISCELLANEOUS
Slips TIRES
Other Starter
Tread Depts Horn
TRANSMISSION Cuts Defroster
Air Pressure Instruments
Hard to Shift Wear Pattern Windshield
Fluid Leaks Wipers
Unusual Noise BREAKS Seatbelts
U-Joints Mirrors
Other Adjustment Glass
Parking Brake Mud Flaps
DIFFERENTIAL Fluid Leaks Hoses
Master Cylinder Fire
Lube Leaks Extinguisher
REMARKS:
Signature: Date:
Note: ALL ITEMS ARE TO BE CHECKED ON THE FIRST OF EACH MONTH.
Supervisor's Review
✓ INSPECTED AND OK
N/A NOT APLICABLE
X DEFICIENCY NOTED By:
Date: